Individual provider Active NPI

David J. Sundem, MA, LPC

  • Mental Health Counselor
  • Sioux Falls, SD
National Provider Identifier
1871736777
Registry record updated Apr 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC7096 Issued in SD
Practice address
4105 S Carnegie PL
Sioux Falls, SD 57106-2360
Phone
(605) 323-2345
Fax
(605) 323-2822
NPI assigned
Apr 8, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC7096 SD Primary

Addresses

Primary practice location

4105 S Carnegie PL
Sioux Falls, SD 57106-2360

Mailing address

4105 S Carnegie PL
Sioux Falls, SD 57106-2360
Phone (605) 323-2345

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LPC7096SDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
GPPS LLC PastSince Jun 1, 1993 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1239148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239148800000",
    "number": "1871736777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 S CARNEGIE PL",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571062360",
            "telephone_number": "605-323-2345",
            "fax_number": "605-323-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 S CARNEGIE PL",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571062360",
            "telephone_number": "605-323-2345",
            "fax_number": "605-323-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDEM",
        "first_name": "DAVID",
        "middle_name": "J.",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-08",
        "last_updated": "2009-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "LPC7096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.